Background The future health of individuals depends on the well being of the children of today. Proper nutrition for children is very important. The most commonly used index of obesity and over weight is Body Mass Index. The growth of children should be monitored using the Body Mass Index (BMI) and risk factors assessed through a dietary and physical activity history. The increase in obesity is attributed to increased carbohydrate consumption among children. Obesity and caries are both diet-based conditions that share a cause that is, excessive ingestion of fermentable carbohydrates.Objective This study was undertaken to determine the association of nutritional status with dental caries in 8 to 12 year old children of Udaipur city.Method The present study was conducted on a random sample of 1000 boys and girls, aged 8-12 years. The children were selected from schools located in the Udaipur City, Rajasthan. The schools examined were of government and private sector schools in Udaipur city. The children from schools of Udaipur city was taken in the study with male, female and age group ratio as per distribution in population. A proforma was used to record children’s age, gender, school, year, height, weight, parental income and dental caries status. Statistical analysis was done using Statistical Package of Social Science (SPSS Version 15; Chicago Inc., USA).Result It was found that caries free individuals were more from normal nutritional status group with 134 (13.4 %) subjects where as only 11 (1.1 %) of subjects obese children were found caries free.Conclusion Study shows that the children with normal BMI for age had more caries in their primary teeth, as well as in their permanent teeth, than the overweight children.Kathmandu University Medical Journal Vol.12(1) 2014: 26-31
Background: Osteoporosis is a global public health problem affecting the ageing population and influenced by poor nutrition, lack of physical activities, and absence of supplementation on time. Objectives: To study the impact of Calcium and vitamin D supplementation along with weight bearing exercises on bone health status of elderly. Methods: 30 elderly males and 20 elderly females having poor BMD and poor serum vitamin D were supplemented with 1000 mg calcium and 500 IU vitamin D/ day along with weight bearing exercises for a period of 3 months, along with that 60000 IU vitamin D3/week for 2 months were given to 30 males only. Serum calcium, Vitamin D, BMD, dietary calcium intake, frequency of vitamin D rich food intake, anthropometry etc. were measured at the baseline as well as after the intervention. Results: Mean BMD T-scores (-1.1 to-2.5: osteopenia; >-2.5: osteoporosis) of the elderly males and females were significantly (p 0.001) decreased after the intervention depicting improvement (baseline:-2.34±0.50, final:-1.86±0.61). 26.7% reduction in osteoporotic cases among males and 50 % among women was achieved. Mean serum calcium (baseline: 9.38±0.63, final: 9.46±0.61) and vitamin D level (baseline: 23.76±13.17, final: 35.48±14.84) was increased significantly (p 0.05). 60% males and 70% females achieved vitamin D sufficiency level after the intervention. Mean physical endurance (Grip strength, standing balance, walking speed and rise from chair) scores were significantly increased in both males and females. Locomotor problems were reduced among 6.7% males and 40% females after regular weight bearing exercise and supplementation. Conclusion: Calcium and vitamin D supplementation with daily weight bearing exercise has a preventive and curative effect on BMD and it maintains the serum calcium and vitamin D levels. Long term and high dose supplementation needs further investigation.
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